This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
Medicare payments to this provider grew 60% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $533.61 | $389.16 | 1.37x | $144.45 | $374.7K | 799 | 711 |
| 2015 | $598.38 | $430.24 | 1.39x | $168.14 | $411.8K | 808 | 714 |
| 2016 | $576.05 | $410.17 | 1.40x | $165.88 | $478.7K | 995 | 871 |
| 2017 | $559.11 | $407.89 | 1.37x | $151.22 | $503.4K | 1.0K | 927 |
| 2018 | $542.53 | $382.64 | 1.42x | $159.89 | $404.7K | 951 | 835 |
| 2019 | $531.90 | $389.38 | 1.37x | $142.52 | $416.3K | 977 | 846 |
| 2020 | $491.11 | $368.29 | 1.33x | $122.82 | $454.1K | 1.1K | 900 |
| 2021 | $465.89 | $347.74 | 1.34x | $118.15 | $606.0K | 1.6K | 1.4K |
| 2022 | $468.27 | $345.46 | 1.36x | $122.81 | $553.8K | 1.6K | 1.3K |
| 2023 | $444.39 | $320.14 | 1.39x | $124.25 | $599.5K | 1.8K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 699 | $603.9K | $863.89 | 1.33x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 567 | $581.5K | $1.0K | 1.30x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.2K | $462.2K | $398.78 | 1.33x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 561 | $458.2K | $816.79 | 1.51x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 603 | $411.8K | $682.87 | 1.39x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 914 | $400.2K | $437.87 | 1.35x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 559 | $397.5K | $711.17 | 1.32x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 430 | $340.7K | $792.27 | 1.56x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 374 | $306.1K | $818.49 | 1.31x |
| 15004 | Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) | 452 | $173.3K | $383.49 | 1.28x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 456 | $170.7K | $374.30 | 1.32x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 117 | $87.9K | $751.21 | 1.31x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 495 | $56.9K | $114.85 | 1.32x |
| 17004 | Destruction of 15 or more skin growths | 348 | $50.5K | $145.11 | 1.31x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 668 | $48.4K | $72.46 | 1.32x |
| 17110 | Destruction of up to 14 skin growths | 448 | $44.8K | $100.03 | 1.38x |
| 14302 | Tissue transfer repair of wound (30.0 sq centimeters) | 174 | $37.5K | $215.54 | 1.28x |
| 11102 | Tangential biopsy of single skin lesion | 422 | $28.7K | $68.01 | 1.86x |
| 17000 | Destruction of skin growth | 550 | $27.9K | $50.77 | 1.63x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 523 | $24.5K | $46.81 | 1.31x |
This provider submits charges 1.37 times higher than what Medicare actually pays.
A markup ratio of 1.37x means for every $100 Medicare pays, this provider initially charges $137. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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